Servico.com - Research, Retrieval and Process Services

To place an order for Tax I.D., please complete and submit the following worksheet.

In order to keep your credit card transaction secure, please contact our Corporate Department at: 518-463-4179 or Toll Free 800-828-4428 (NYS residents only) and supply us with your credit card information. If not paying by credit card, send Certified or Attorney Check with the applicable fee to:

Servico, Inc.
P.O. Box 871
Albany, N.Y. 12201

Name of Applicant (Business):
Mailing Address:
Business Address (if different):
County and State where business located:
Name of Principal Officer:
Social Security #:
Type of Entity:
if a corporation, give state:
Highest # of employees expected in 1st year:
Principal Activity:
Most products/services are sold to:
Your Firm
Address
Your Name
Email
Your Phone	Your Fax (if available)

How would you like to be contacted
Email	Phone	Fax

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